Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LONE STAR STATE DERMATOLOGY CLINIC PLLC
Active OrganizationProcedural Dermatology · LIVE OAK, TX
Registration Details
- NPI Number
- 1053723239
- Provider Type
- Organization
- NPI Issued
- May 22, 2014 (11.917179937979 yrs)
- Last Updated
- Dec 20, 2023
- License
-
K8022 (TX)
Practice Information
- Address
-
11101 TOEPPERWEIN RDLIVE OAK, TX, 782333048Browse TX providers · Browse ZIP 78233
- Phone
- 2106513233
- Fax
- 2106513234
- Primary Specialty
-
Procedural Dermatology
207NS0135X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.